BLAKE W ERBAN OT - Occupational Therapist License in California | # 056013705

BLAKE W ERBAN OT

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013705

License Status

NOT RENEWED

Business

N

Title

OT

First Name

BLAKE

Middle

W

Last Name

ERBAN

Business Name

BLAKE W ERBAN OT

Original Issue Date

07/10/2020

Effective Date

07/10/2020

Expiration Date

01/31/2022

State

CA

Ever Disciplined

N

LastModifiedDate

05/18/2022